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16-17654
Zephyrhills
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2016
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16-17654
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Last modified
7/18/2017 6:55:51 AM
Creation date
7/18/2017 6:54:40 AM
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Building Department
Company Name
FLORIDA MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
16-17654
Building Department - Name
FLORIDA MEDICAL CLINIC
Address
38135 MARKET SQUARE DR
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� � , <br /> ; � . <br /> 72-52 NATIONAL FIRE AIARM AND SIGNALING CC3DE �ab� <br /> Permit# Z�g�4f17523 <br /> 16. CERTIFICATIOIVS AND APPROVALS <br /> p 16.1 System,in'st�llation Contr r �� <br /> �, This systerh as s�cified in e2 'nstalled�"�'a1id tested accarding to all NFPA standards cited herein. <br /> r Si ned � . e�. r <br /> � g ,, Printed narne. Date: f..� I 1 ,��J <br /> ( / <br /> & Organi Ion: a Knox Fire 8�:�'ammunications,Inc Title: Xnstatlation Tech Phone:{$�3) � 3-� <br /> 9 <br /> � i6.2 System erv'ce Contactor r� <br /> � This syste � as�i e • rin s be ' s � andtested according ta all NFPA standards cited herein. <br /> � ,�� �,i j ,/� <br /> �Signed �S 7 fi � ri d narne: Date: Q / � �,�7 <br /> 4 Organi tion:Fo i ox Fire&Ca unicatiorts, Inc fiitle: InstaIlution Tech Phone:(813) 53-I&05 <br /> � _ <br /> 16.3 Supervisi tation , � <br /> � This system as s ecified herei rll b -Jrto�red a" ccord`ing to all NFPA standards cited herein. , <br /> , � � � <br /> � Signed:,'' �-��'',�� :���e: Date: �/ T <br /> �' i - <br /> � Orga�izat" :Fort�ox Fire&Comm nicutions, Inc Title: I'nstalIatian Tech Phone:(813) 653-1605 <br /> ,�,� � . <br /> �16.4 Progexty Representative � <br /> �I accept this sqstem as having been installed and tested ta its specificatians and all NFPA sta�dards aSted herein. <br /> � Signed: Printed name: Dafe: <br /> �Qrganization: Title: Phane: <br /> �16.5 Authority Having Jurisdiction <br /> � I have witnessed a satisfactary acceptance test of this system and find it to be installed and operating properly <br /> �in accordance with its approved plans and speci�cations,its approved sequence af aperations,and with ali NFPA � <br /> �standards cited herin. � <br /> �Signed:�ii�,����y�---" Printed name: ��C�l,c'��� Date: ^�.�"7.--/ �' I <br /> � Organization: �,.���,L.�� Title: ��__�?�r__„�I�-�� Phone: �)'�j>(,,_4�. ��f3��- <br /> � Notes: Certi fication is for Phase 1 (Scope o f Work (3nty) <br /> � � <br /> � ' , <br /> � ' <br /> � <br /> il <br /> FIGU.RE Il1.18.2.1.1 Continued (201Q Edition) NFPA 72(pg.12 of 12) <br /> Revised 1/1/2015 2010 Edition N�'P,� <br /> ' <br /> � <br />
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